- Primary Health Care (Des Moines, IA)
- …financial assistance programs, address billing questions, perform back-billing, monitor the payer mix, and support compliance. This role involves patient outreach, ... and upon patient request. + Monitors and reports on payer mix for their assigned clinic and works with...clinic and works with Clinic Director to address unfavourable payer mix changes. + Provides ongoing support and coverage… more
- Fairview Health Services (Hibbing, MN)
- …in accordance with medical staff bylaws and JC standards. + Responsible for the payer enrollment for all new providers. Completes all payer reappointments and ... Office on all credentialing questions and denials from payers. Maintains external payer credentialing databases. + Serve as the administrative support for the… more
- Prime Healthcare (Chicago, IL)
- …accounts receivable (AR) targets. + Performs ongoing trend analysis on third party payer payment levels to ensure that reimbursement is in accordance with allowable ... use in the third party and managed care negotiation payer process, and works closely with the managed care...and participates in the review and negotiation of third-party payer contracts. + Establishes and monitors standards for controlling… more
- Prime Healthcare (Anaheim, CA)
- …follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Government payers. This ... EDUCATION, EXPERIENCE, TRAINING 1. Minimum of 5 years hospital government payer /commercial collector experience 2. Associates degree or equivalent work experience… more
- Scotland Health Care System (Laurinburg, NC)
- …information to authorize service(s). + Communicates with management to identify payer trends and resolve potential issues. + Documents all communications thoroughly, ... including payer decisions, in a timely manner. + Maintain meticulous...of medical terminology Knowledge, Skills, Abilities + Familiarity with payer Medical Policies, NCD, LCD. + Familiarity with Epic… more
- TEKsystems (Baltimore, MD)
- …+ Verify insurance coverage and benefits using all available tools and payer portals. + Contact payers directly to obtain additional information as needed. ... referrals, authorizations, or pre-certifications prior to services as required by payer guidelines. + Patient Information Management + Collect and confirm patient… more
- Cognizant (Providence, RI)
- …Oracle Golden Gate and Oracle. This role requires domain experience in Membership (HC- Payer ) and proficiency in English. The position offers a hybrid work model with ... + Ensure compliance with industry standards and best practices in Membership (HC- Payer ) domain. + Troubleshoot and resolve technical issues to minimize downtime and… more
- Baylor Scott & White Health (Waco, TX)
- …on all required forms Consistently completes the Medicare Secondary Payer (MSP) questionnaire, if applicable. Verifies insurance to determine coordination ... service experience Ability to determine patients' primary, secondary, and tertiary payer sources. Knowledge of all major governmental and non-governmental payer… more
- Devereux Advanced Behavioral Health (League City, TX)
- …executing comprehensive marketing strategies to increase program visibility, build payer and referral agency relationships, and drive referrals. Additionally, the ... the admissions and utilization management team in managing inquiries, referrals, and payer processes. * Ensure a smooth and client-centered admissions experience for… more
- Amgen (Washington, DC)
- …external collaborators. **Key responsibilities include:** + Generating global-impact payer -relevant evidence, patient reported outcomes (PRO), clinical outcomes ... for Observational Research, Real-world Evidence sub-Team (RWEsT), Global Biostatistical Sciences, US Payer Marketing, Medical Value & Access. **Be part of our team**… more
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